Provider Demographics
NPI:1912981135
Name:GIEVER, RICHARD J JR (MD)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:J
Last Name:GIEVER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:512 N YOUNG ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7806
Mailing Address - Country:US
Mailing Address - Phone:509-374-3915
Mailing Address - Fax:509-374-8036
Practice Address - Street 1:7350 W DESCHUTES AVE
Practice Address - Street 2:BUILING A
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7802
Practice Address - Country:US
Practice Address - Phone:509-737-3371
Practice Address - Fax:509-736-0958
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2010-07-19
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Provider Licenses
StateLicense IDTaxonomies
WA197642085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8318909Medicaid
WAAB10171Medicare ID - Type Unspecified
WA8318909Medicaid